SARTEG. HCT . 160 mg. 28 tablets

SARTEG WHAT IS AND WHAT IT IS USED

Sarteg medicine class called angiotensin II receptor antagonists. Angiotensin II is a substance in the human body, causing spasm of the vessels., Thus leading to an increase in blood pressure. Sarteg works by blocking the effect of angiotensin II. As a result, blood vessels relax and blood pressure is lowered.

Sarteg 80 mg film-coated tablets can be used in three different conditions: to treat high blood pressure. High blood pressure increases the workload of the heart and arteries. If left untreated, it can damage the blood vessels of the brain, heart and kidneys, and cause a stroke, heart failure or kidney failure. High blood pressure increases the risk of heart attacks. Lowering your blood pressure to normal reduces the risk of developing these disorders.

 To treat people after a recent heart attack (myocardial infarction). "Fresh" means in this case between 12 hours and 10 days.

 For the treatment of symptomatic heart failure. Sarteg used when a group of drugs called angiotensin converting enzyme (ACE) inhibitor (a drug to treat heart failure) can be used either in addition to ACE inhibitors when beta blockers (other medicines used to treat heart failure ) can not be used. Symptoms of heart failure include shortness of breath and swelling of the feet and legs due to fluid. This occurs when the heart muscle can not pump blood strongly enough to supply all the blood needed.

Sarteg 160 mg film-coated tablets can be used in three different conditions:

To treat high blood pressure. High blood pressure increases the workload of the heart and arteries. If left untreated it can damage blood vessels in the brain, heart and kidneys, and cause a stroke, heart failure or kidney failure. High blood pressure increases the risk of heart attacks. Lowering your blood pressure to normal reduces the risk of developing these disorders.

To treat people after a recent heart attack (myocardial infarction). "Fresh" means in this case between 12 hours and 10 days.-For the treatment of symptomatic heart failure. Sarteg used when a group of drugs called angiotensin converting enzyme (ACE) inhibitor (a drug to treat heart failure) can be used either in addition to ACE inhibitors when beta blockers (other medicines used to treat heart failure ) can not be used. Symptoms of heart failure include shortness of breath and swelling of the feet and legs due to fluid. This occurs when the heart muscle can not pump blood strongly enough to supply all the blood needed.

 BEFORE YOU GET SARTEG

Do not take Sarteg:

 If you are allergic (hypersensitive) to valsartan (the active ingredient), soybean oil, peanut oil, or any of the other ingredients of Sarteg.

 If you are older than 3 months of pregnancy, see pregnancy and breastfeeding if you are breastfeeding.

If you have severe liver disease (severe hepatic impairment, cirrhosis or cholestasis).

 If you suffer from severe kidney disease (kreatinniov clearance <10 ml / min)

 If you are undergoing dialysis.

Please pay particular attention to the adoption of Sarteg:

 If you have kidney disease

 If you have low sodium and / or reduced in volume (you take high doses of diuretics and have diarrhea or vomiting) may have symptoms such as excessive thirst, dry mouth and drowsiness.

 If you are taking potassium - sparing medications, potassium supplements or salt substitutes containing potassium, or other drugs that increase the amount of potassium in your blood (eg heparin) may need to check the level of potassium in blood at regular intervals.

 If you have severe heart disease other than heart attack if you have a narrowing of the renal artery

 If you have recently had a kidney transplant.

 If you have a medical condition characterized by excessive production of the hormone aldosterone (primary aldosterone syndrome). If you suffer from mild to moderate liver disease.

You should tell your doctor if you think you are pregnant or may become pregnant. Sarteg not recommended in early pregnancy, and can cause serious harm to your baby after 3 months of pregnancy, see Pregnancy.

The doctor will need to assess the functioning of your kidneys in relation to treatment with Sarteg.

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken, any other medicines. This also applies to medicines obtained without a prescription. This is especially true if you are taking:

 Other medicines for high blood pressure, especially water tablets "(diuretics)

 Lithium (a medication for some mental disorders).

 Potassium supplements and medications that increase potassium levels in the blood (incl medicines containing heparin and potassium sparing diuretics). Please ask your doctor or pharmacist for information.

Non-steroidal anti-inflammatory drugs (NSAIDs), a type painkillers.

 A medicine belonging to the class called ACE inhibitors administered after heart attacks.

In addition:

 If you are being treated after a heart attack, not a combination with ACE inhibitors (medications to treat heart attack)

 f you are being treated for heart failure is not recommended triple combination of ACE inhibitors and beta-blockers (medicines used to treat heart failure).

Please note that the foregoing is true also for the same drugs if taken some time ago, or should be taken later. If you start treatment with another drug, tell your doctor that you are currently taking Sarteg.

Take Sarteg with food and water

Sarteg can be taken with food and drink. Drink a glass of water when taking the product.

Children and adolescents under 18 years of age:

Sarteg effects on children and adolescents (younger than 18 years) are not known. Sarteg therefore should not be used in children and adolescents.

Elderly (75 years or older)

If you are aged 75 years or more You can also take Sarteg.

Impaired renal and hepatic function:

If you suffer from severe liver or kidney disease Sarteg use is not recommended.

Doses higher than 80 mg should not be administered to patients with mild to moderate liver disease without cholestasis.

Dose reduction is required for those "who suffer from mild or moderate kidney disease.

Pregnancy and lactation

Ask your doctor for advice before taking any medicine. You need to

tell your doctor if you are pregnant or may become pregnant.

Usually, your doctor will advise you to take another medicine instead Sarteg integrity, because Sarteg not recommended in early pregnancy, and can cause serious injury to

your baby if used after the third month of pregnancy. Your doctor is normal

Advise you to stop taking Sarteg immediately know that you are pregnant.

Do not take if you are breastfeeding Sarteg. Tell your doctor that you are breast-feeding.

Driving and using machines

No studies on the effects to influence the ability to drive and use machines. Some patients Sarteg can cause side effects (sleepiness and fatigue) that may affect the ability to drive and use machines.

Important information about some of the ingredients of Sarteg

This product contains lactose, and if you have been told by your doctor that you have intolerance to some sugars, contact your doctor before taking this medicine. Carteg contains soybean oil. If you are allergic to peanut oil or soya, do not take this medicinal product.

 HOW TO TAKE SARTEG

Always Sarteg exactly as prescribed by your doctor. If you are not sure how to take your medicine, you must specify this with your doctor or pharmacist.

High blood pressure: The usual dose is 80 mg daily. In some cases your doctor may prescribe higher doses (eg 160 mg or 320 mg). It may be combined with additional Sarteg medication (eg diuretics).

After a recent heart attack: After a heart attack, treatment can begin after 12 hours, usually at a low dose of 20 mg twice daily. You receive a dose of 20 mg, split the tablets of 40 mg. Your doctor will increase the dose gradually over several weeks to a maximum of 160 mg twice daily. Dose depends on how each patient can tolerate.

Sarteg can be taken in conjunction with other treatment for heart attack and your doctor will decide which treatment is right for you.

Heart failure: Treatment usually starts with 40 mg twice daily. Your doctor may prescribe a higher dose gradually increased to a maximum of 160 mg twice daily. The final dose depends on how each patient can tolerate. Sarteg can be taken with other medicines for heart failure, your doctor will decide which treatment is right for you.

The maximum effect, lowering blood pressure occurs after 4 weeks of treatment.

If you take more than you need Sarteg

If you take too many tablets or if someone else accidentally takes your medicine, contact your doctor, pharmacist or hospital.

Symptoms of overdose may include: drowsiness, depressed level of consciousness, circulatory collapse and / or shock.

If you forget to take Sarteg

If you forget to take your medicine, you should take it as soon as possible and miss a dose, it is time for the next intake. Do not take a double dose to correct the missed dose.

If you forget to take more doses, or think that you have missed several doses, contact your doctor.

If you stop taking Sarteg

Stopping the Sarteg can cause worsening of your condition. Do not stop taking your medicine unless your doctor tells you to do so. If you have further questions regarding the use of this product, ask your doctor or pharmacist.

 POSSIBLE SIDE EFFECTS

Sarteg like all medications, can cause side effects, although not everybody gets them.

The frequency of side effects listed below is defined using the following convention:

Very common: More than 1 in 10

common: one of 10 patients at 100

uncommon: 1 out of 10 patients at 1,000

rare: 1 in 10 patients at 10,000

very rare: less than 1 in 10.000

not known: frequency can not be estimated from the available data.

Some symptoms need immediate medical attention:

You should see your doctor immediately if you experience any of the symptoms of angioedema, such as:

 Swelling of the face, tongue or sip

 Difficulty in swallowing

 Urticaria (hives) and difficulty in breathing.

Other side effects include:

Common side effects:

 Viral infections

 Low blood pressure and dizziness on standing

Unusual Side Effects:

 Heart failure

 Fainting

 Eye discharge accompanied by itching, redness and discharge (conjunctivitis)

 Feeling dizzy

 Cough

 Bleeding from the nose

Diarrhea, stomach pain

 Back pain

 Muscle cramps, muscle pain

 Inflammation of the joints (arthritis)

 Increased levels of potassium in the blood

 Infections of the upper respiratory tract

 Sore throat and discomfort when swallowing

 Sinusitis / sinus inflammation /

 Low blood nalyagane2)

 Exhaustion

Weakness

 Water retention

 Sad mood (depression)

 Difficulty sleeping

 Decreased interest in sexual activity

Rare side effects:

 Dizziness

 Severe stabbing or throbbing pain along single nerve

 Inflammation of the blood vessels

 Allergic reaction including serum sickness (rash, swelling, joint pain and swollen glands).

 Angioedema

 Rash and itching.

Very rare side effects:

Low blood platelets accompanied by symptoms such as bleeding bruise easier than normal.

 Glavobolie2)

 Taste disorders

 Gadene2

 Acute renal failure, renal dysfunction, separating little or no urina1), 2)

 Joint pain

 Stomach pain (gastritis, inflammation of the stomach)

 Fever

 Severe bleeding

 Liver problems

1) reported more frequently in patients after heart attack

2) reported more frequently in patients with heart failure

If any of these serious side effects worry you, or if you notice any side effect not listed in this leaflet, please tell your doctor or pharmacist.

 HOW TO STORE SARTEG

Store in a place where it can be accessed and viewed by children.

Sarteg Do not use after the expiry date which is stated on the carton, blister and bank as EXP.

The date of expiry date refers to the last day of the same month.

PVC/PE/PVDC-A1 blisters: Do not store above 30 ° C. Store in the original package to protect from light and moisture.

Polyethylene banks: Store in the original package to protect from light and moisture.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medications that are no longer required. These measures will help to protect the environment.

 Additional Information

What Sarteg

 The active substance is valsartan.

Each tablet contains 80 mg of valsartan.

Each tablet contains 160 mg of valsartan.

 The other ingredients are: Tablet core: lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, povidone K29, K32, talc, magnesium stearate, silica anhydrous, tablet coating: poliviniyaov alcohol, macrogol 3350, talc, lecithin (contains soybean oil, E322 ), titanium dioxide (E171), yellow iron oxide (E172).

Sarteg 80 mg and 160 mg also contain red iron okid (E172).